Alisa J. Marzec, MD
Individual provider Active NPI Family Medicine Physician · Columbus Grove, OH
NPI 1497066526 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1497066526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35.123364 (OH)
- Practice address
- 100 Progressive Dr
Columbus Grove, OH 45830 - Phone
- (419) 659-6010
- Fax
- (419) 659-6012
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Toledo College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Lima, LLC
Mercy Health Physicians Lima Specialty Care LLC
Practice addresses (Care Compare)
100 Progressive Dr
Columbus Grove, OH 45830-9620
Phone (419) 659-6010
3224 Jarvis Rd
Lima, OH 45807-2213
Phone (419) 996-5757
Hospital & facility affiliations
- Putnam County Homecare
- Fountain Park Home Care, LLC
- Everheart Hospice
- Bridge Home Health and Hospice
- Mercy Health - Hospice Lima
- Grand Lake Hospice
- Mercy Health St Ritas Medical Center
- Lima Memorial Health System
- Paulding County Hospital
- Lutheran Hospital of Indiana
- Vancrest of Ada
- Vancrest of St Mary'S
- Vancrest of Payne
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141009001998 | OH | Practitioner - Family Practice | 3476724386 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45310 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Lima, LLC | Family Medicine | Current |
Accepting new patients |
| Vancrest of Payne, LLC | Past | Accepting new patients | |
| Grand Lake Operations, LLC | Past | Accepting new patients | |
| Vancrest of Ada LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
604 W North Ave
Ada, OH 45810
Phone (419) 634-0431
1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000
100 Progressive Dr
Columbus Grove, OH 45830
Phone (419) 659-6010
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
3224 Jarvis Rd
Lima, OH 45807
Phone (419) 996-5757
Interoperability endpoints
- amarzec140978@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.123364 | OH | Yes |
| Family Medicine Physician | 207Q00000X | 45310 | KY |
Addresses
Primary practice location
100 Progressive Dr
Columbus Grove, OH 45830
Mailing address
PO Box 636930
Cincinnati, OH 45263-6930
Phone (513) 981-5123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01335359 | Other | KY | RAILROAD MEDICARE |
| 7100177560 | Medicaid | KY |
NPI Registry JSON
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1497066526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636930",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636930",
"telephone_number": "513-981-5123",
"fax_number": "513-981-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PROGRESSIVE DR",
"city": "COLUMBUS GROVE",
"state": "OH",
"postal_code": "45830",
"telephone_number": "419-659-6010",
"fax_number": "419-659-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZEC",
"first_name": "ALISA",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.123364",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "45310",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01335359",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100177560",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus Grove, OH
- Claire Kiene
- Linda Lou Kruse
- Paige Elizabeth Langhals
- Pam Langhals
- Tyler J Maag
- Kirsten L McCauley
- Tina M McKinnie
- Cory Joe Meuleman
- Needler Chiropractic Inc
- Hannah N Needler
All providers in Columbus Grove, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.